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PMT14-01002 City of Menifee Permit No.: PMT14-01002 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Re-Roof ss� r MENIFEE Date Issued: 05/05/2014 PERMIT Site Address: 27201 LA PRADA WAY, MENIFEE, CA Parcel Number: 336-011-043 92586 Construction Cost: $8,520.00 Existing Use: Proposed Use: Description of TEAR OFF SHINGLES REPLACE WITH 30 YR CLASS A Work: Owner Contractor LINDA SHAPLEIGH BAKER ROOFING CORPORATION 27201 LA PRADA WAY 29515 DUNKIRK STREET MENIFEE, CA 92586 MENIFEE, CA 92586 Applicant Phone: 9512557237 BAKKERER ROOFING CORPORATION A BAKER License Number: 884731 BAKER 29515 DUNKIRK STREET MENIFEE, CA 92586 Fee Description Amount Bu�il m aP soon �-6;. Inspections not specified 98 98.00 $126.00 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated, a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full fWe and effect. 1 Code:The Contractor's License Law does not apply to an owner of a property License Class C-5`� License No. " - �, who builds or improves thereon, and who contracts for the projects with a Expires-r t,,,,.'. Signature� `.. licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the I hereby affirm under penalty of perjury one of the following declarations: following reason: have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that 1 have permit is issued. built as an owner-building If it has not been constructed in Its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the N I Business and Professions Code,is available upon requestwhen this application is have and will maintain workers' compensation insurance, as required submitted or at the following Web site:http'llwww leainfo ca eovlcalaw html. j�section 3700 of the Labor Code, for the performance of the work for which this s 9 % permit is issued.My workers'compensation Insurance carrier and policy number are: �'\� �/ r Property Owner or Authorized Agent Date Carrier -)'�F=.<:/r-- Expires � 7 , r,1 Policy# �� �-� '� �YIBy my Signature below, I certify to each of the following: I am the property Name of Agent Phone# /owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit Is issued,I identified property for the inspection purposes. shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Laborop'erty Owner or Authorized Agent Date Code, I shall forthwith comply with those provisions. City Business License Date 5 7 i -' Applicant) WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? I hereby affirm that under the penalty of perjury there is a construction lending agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ONO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS PRINT NAME'. I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, ONO SCHOOL? or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the I HAVE READ THE HAZARDOUS MATERIAL provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or OYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECT MUTER AL5t';E5533PO�ff AND 25534 CONCERNING HAZA�DG. ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Cade; X The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF 1Q'1Yi1®YYY.iYi PLCK No: Pezmlt o ' _O' FMT 29714 Haun Road Date: Date:�/CJ �� Menifee, CA 92586 Phone: (951)672-6777 Amount: Amount Fax:(951)679-3843 ck#: Ck#: I au N Building Combination Permit G� CT(c). L.o? To Be Completed By Applicant Legal Descdptiom . - ,�I Planning Case: F: IL: Rt: R Property Address: Assessor's Parcel Number. Projectlfenanl Name. unit#: Floor#: Name: 1 P + Pilo No. L O l t (rt -J.1 Fax No. Property Address Owner "7 Number Zip Codei, Email Address: Name: Phone No. Fax No. �� rcv < F,' .,, -` L _7 Applicant Address ,,?,) \ ,. (� _ 1 �� Unit Number Zip Code/�^ L , lV� P 4 , .j tom( Email Address: .. Namg Phon No. Fax No. Contractor Addresr - Clly Sta Zip Code�g - / sa_S r ,. C i 1�, J " l-o L.R. infractor siysyn se o. Contractor's CitState of California License No- d' 1 k r.N i Classification: �._ `�,r::,ir Number of Squares: Square Footage Description of Work._: . �'t'�r ,'e,r w Applicant's Signature p To Be Completed By City Staff Only Lj Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on a%v x 11) ❑ Foundation Plan ❑ Structural Calculations ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Sharing Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration* Addition' Means/Methods Work Type: Repair* Retrofit' Revision to Existing Perggt*l Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate if Indicate allHGeo-tech.Haz.Zone At Project SPunklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C Of 0 YES or NO Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project I JE[ec.Vehicle Charger Landmark Seismic Retrofit pedal Case:Bldg. OfficialApproml Expedite Project(s): Child Care City Project Green Building Landmark Afford-hie Housing For Staff Use Only Building/Safety I Permit Specialist City Planning Civil Engineering IEPWM-Atlmin I Transponalion Mgmt. I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF-1 R-ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION Prescriptive Certificate of Compliance: Residential CF-IR-ALT Residential Alterations (Pa e 4 of 7 Project Name: i Climate Zone# #of Stories Cc ROOFING PRODUCTS(COOL ROOFS)§151(1)12 When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 ft,whichever is less,the new roofing area nmst meet the roofing product"Cool Roof'requirements of§152(b)IHl,152(b)ZHii,or 152(b)1Hili. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof'requirements.Note:Ifany one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Endttanee requirenents for roofing products in §118(I)are not applicable.Do notfull table below. ❑Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Lessor 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less than 5lb/ft. Alternatives to§152(b)1Hi and§152(b)Hii,Steep-slope roof(pitch>2:12) Insulation with a thermal resistance of at least 0,85 inW-'F/Btu or at least a 3/4 inch air-space is added to the roof deck over an attic;or ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10;or ❑ _In climate zones 10, 12 and 13,with I ft'of free ventilation area of attic ventilation for every 150 fte'of attic floor area,and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or ❑ Building has at IeastR-30 ceiling insulation;or ❑ Building has radiant barrier in the attic meeting the requirements of§151(02;or ❑ Building has no ducts in the attic;or ❑ In climate zones 10, 11, 13 and 14,R-3 or greater roof deck insulation above vented attic. Exception to§152(b)IlIiii,Low-slope roof(pitch 52:12) ❑ Building has no ducts in the attic. Other Exceptions ❑Roofing area covered by building integrated;photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. El Roof constructions that have thermal mass over the roof membrane with at least 25 lb/fie is exem>t from the below Cool Roof criteria. Note:If no CRRC-1 label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise, Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Re uirement Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number 5 2:12 >2:12 < 5lb/ft' > 5lb/11' Type2 Reflectance'°4 Emittance SRI5 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be obtained -om the Cool Roof Rating Council Rated Product Directory at wwuv eaolr'00%s onooroductylearch,phn 2.Indicate the pipe ot'product is being usedfor the rooftop,i.e.single-ply roof asphalt roof,metal roof,etc, [f the Aged Reflectance is not available in the Coal RoofRa[ing Councils Rated Product Directory lien use the Initial Reflectance value from the same directory and use the equation(0.2+0.7(pp,uui„/—0.2)to obtain a calculated aged value. Yfhere p is the Initial Solar Reflectance. 4 Check box if the Aged Reflectance is a calculated vahre using the equation above. 5,Calculate the SRI value by using the SRI-Worksheet at htw.11wow enerev en aov/Ctle24/and enter the resulting value in the SRI Column above and a[[ach acopy of the SRI-Worksheet to the CT`-IR. To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in§I 18(i)4. Select the applicable coating: ❑ Alumiuum-Pigmented Asphalt Roof Coating ❑ Cement-Based Roof Coating ❑ Other Registra, CLiN3 dRbe!ey .n�. ,:rr' _? tye"'' ''eegustl ntwn oi ?l ovtrlei I"�_t* 2008 Residential Compliance Farms March 2010